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Nighttime sleep and daytime behavior in children: Studies based on parents' perseptions of five to eight year old children
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience.
2000 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis is to survey sleep-wake characteristics and their associations with other factors, especially behavioural and emotional difficulties, in children.

Parents' reports showed that various sleep disturbances were fairly common phenomena among 5-6-year-olds. Comparisons with Swedish studies performed 30 years earlier suggest slightly shorter sleep duration, and higher prevalence of night terrors among contemporary children. Disturbed sleep was correlated to several factors, e.g. health problems and life events. Prospective reports of specified sleep disturbances displayed persistence rates between 30% and 60% over the course of one year. Recurring nightmares were associated with behavioural and emotional difficulties, and also with other distress. Moreover, 36% of children with global reports of current sleep problems also had behaviour problems. Certain sleep disturbances tended to be specifically related to particular types of behavioural difficulties.

Previous consultations for sleep problems, reported in 7% of the children, were associated with more current sleep disturbances. A need to remedy current sleep problems was confirmed in one percent of the 5-6-year-olds. Sleeping difficulties attributed to parenthood, in 22% of the mothers and 12% of the fathers, coincided with more sleep disturbances in their 5-6-year-olds.

A new behavioural screening form, The Strengths and Difficulties Questionnaire was translated from English and used in studies of associations between sleep and daytime behaviour in children. The Swedish SDQ displayed adequate psychometric properties.

Studies show that in latency children sleep disturbances are common, often persistent and frequently associated with behavioural difficulties; however, they are not necessarily indicated by obvious daytime somnolence. Findings also suggest that parents sometimes hesitate to express a need to remedy sleep problems in children. Hence, health care professionals, e.g. in child psychiatry and paediatrics need to assume an active attitude towards the exploration and treatment of sleep problems in 5-8-year-old children.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis , 2000. , 67 p.
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 952
Keyword [en]
Neurosciences, Behaviour, Children, Course, Parents, Persistence, Prevalence, Sleep, Strengths and Difficulties, Survey
Keyword [sv]
Neurovetenskap
National Category
Neurology
Research subject
Child and Youth Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-503ISBN: 91-554-4801-1 (print)OAI: oai:DiVA.org:uu-503DiVA: diva2:165992
Public defence
2000-10-06, Sal B8, BMC, Uppsala, 09:15
Available from: 2000-09-15 Created: 2000-09-15Bibliographically approved

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